Individual
ADAM BRADLEY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
1144 BAYBERRY RD, LAKE OSWEGO, OR 97034-1704
(510) 452-7393
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A62213
CA
207L00000X
Anesthesiology Physician
Primary
MD185304
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A622130
—
CA
01
—
050078112
RAILROAD MEDICARE
CA
Enumeration date
05/03/2006
Last updated
03/05/2025
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